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HOLLY RIDGE HEALTHCARE PA
NPI 1558544957
Family Medicine in Holly Ridge, NC

Active since December 10, 2007
119 HOLLY ST, HOLLY RIDGE, NC 28445(910) 329-1707(910) 329-1716 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Holly Ridge Healthcare Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY RIDGE HEALTHCARE PA (NPI 1558544957) is a healthcare organization registered as a family medicine in Holly Ridge, North Carolina and active in the NPI registry since December 2007. The organization lists James Henry Pridgen, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1558544957
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOLLY RIDGE HEALTHCARE PA
Location Address119 HOLLY STHolly Ridge, NC 28445-7898
Mailing Address119 Holly StHolly Ridge, NC 28445-7898 · (910) 329-1707 · Fax (910) 329-1716
Phone(910) 329-1707
Fax(910) 329-1716
Organization SubpartNo
Authorized OfficialJames Henry PridgenMedical Director · (910) 329-1707
Enumeration DateDecember 10, 2007
Last NPPES UpdateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1558544957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 29495
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
119 HOLLY ST, Holly Ridge, NC 28445
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Other Identifiers 1

Medicaid89012R8NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Ridge Healthcare Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Holly Ridge Healthcare PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Gail Robinson, F.N.P.-BC
Nurse Practitioner
NPI 1083656698
119 HOLLY ST
Holly Ridge, NC 28445
(910) 329-1707
✔ PECOS✔ Accepts MedicareSame address
James Pridgen, M.D.
Family Practice
NPI 1215083563
614 N JK POWELL BLVD
Whiteville, NC 28472
(910) 640-2009
✔ PECOS✔ Accepts Medicare67 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Ridge Healthcare PA's NPI number?

The NPI number for Holly Ridge Healthcare PA is 1558544957. It was assigned to this organization in the NPPES registry on December 10, 2007.

Where is Holly Ridge Healthcare PA located?

Holly Ridge Healthcare PA is located at 119 Holly St, Holly Ridge, NC 28445. The listed phone number is (910) 329-1707.

What is Holly Ridge Healthcare PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Holly Ridge Healthcare PA enrolled in Medicare?

Yes. Holly Ridge Healthcare PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Holly Ridge Healthcare PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Holly Ridge Healthcare PA, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Holly Ridge Healthcare PA accept?

Health plans from Blue Cross and Blue Shield of NC list Holly Ridge Healthcare PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Ridge Healthcare PA was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.